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The FIRST2 ACT simulation program improves nursing practice in a rural Australian hospital


Kinsman, LD and Buykx, P and Cant, R and Champion, R and Cooper, S and Endacott, R and McConnell-Henry, T and Missen, K and Porter, J and Scholes, J, The FIRST2 ACT simulation program improves nursing practice in a rural Australian hospital, Australian Journal of Rural Health, 20 pp. 270-274. ISSN 1038-5282 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 The Authors Australian Jouranl of Rural Health and Copyright 2012 National Health Alliance Inc.

DOI: doi:10.1111/j.1440-1584.2012.01296.x


Objective: To measure the impact of the Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST2 ACT) simulation program on nursing observations and practice relevant to patient deterioration in a rural Australian hospital.

Design: Interrupted time series analysis.

Setting: A rural Australian hospital. Participants: All registered nurses (Division 1) employed on an acute medical/surgical ward.

Intervention: The FIRST2 ACT simulation program.

Outcome measures: Appropriate frequency of a range of observations and administration of oxygen therapy.

Results: Thirty-four nurses participated (83% of eligible nurses) in the FIRST2 ACT program, and 258 records were audited before the program and 242 records after. There were statistically significant reductions in less than satisfactory frequency of observations (P = 0.009) and pain score charting (P = 0.003). There was no measurable improvement in the administration of oxygen therapy (P = 0.143), while the incidence of inappropriate nursing practice for other measures both before and after the intervention was too low to warrant analysis.

Conclusion: FIRST2 ACT was associated with measurable improvements in nursing practice.

Item Details

Item Type:Refereed Article
Keywords:nurse education; patient deterioration; rural; simulation
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Kinsman, LD (Professor Leigh Kinsman)
ID Code:97791
Year Published:2012
Web of Science® Times Cited:25
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2018-03-29

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